Cramer Investigations Services

Case Assignment Form

Case/Claim #:
Date:
Client:
Company:
Client Phone#:
Insured:
Address:
City / State / Zip:
Insured Phone#:
Loss Location:
City / State / Zip:
Date of Loss:
Time of Loss:
Assignment Type
 Fire Investigation  Workers Compensation  Surveillance
 Background  Property Damage  Database Search
Additional Information / Instructions
*Security Code:
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